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Fertility and Child Mortality in Cote d'Ivoire and Ghana


  • Benefo, Kofi
  • Schultz, T Paul


This article examines individual, household, and community characteristics that may affect fertility in contemporary Cote d'Ivoire and Ghana and the relationship between child mortality and fertility. It was not possible to reject the null hypothesis that child mortality is exogenous. Treating child mortality as exogenous, fertility responds directly to child mortality, but by a smaller proportion than estimated in studies of East Asia and Latin America. Increases in female education and urbanization are likely to contribute to declines in fertility in both countries, but economic growth without these structural changes is not yet strongly related to lower fertility. Copyright 1996 by Oxford University Press.

Suggested Citation

  • Benefo, Kofi & Schultz, T Paul, 1996. "Fertility and Child Mortality in Cote d'Ivoire and Ghana," World Bank Economic Review, World Bank Group, vol. 10(1), pages 123-158, January.
  • Handle: RePEc:oup:wbecrv:v:10:y:1996:i:1:p:123-58

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    References listed on IDEAS

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    Cited by:

    1. McCord, Gordon C. & Conley, Dalton & Sachs, Jeffrey D., 2017. "Malaria ecology, child mortality & fertility," Economics & Human Biology, Elsevier, vol. 24(C), pages 1-17.
    2. Timothy Guinnane & Carolyn Moehling & Cormac O Grada, 2002. "The Fertility of the Irish in America in 1910," Working Papers 848, Economic Growth Center, Yale University.
    3. Simon Appleton, 2000. "Education and health at the household level in sub-Saharan Africa," CID Working Papers 33, Center for International Development at Harvard University.
    4. Lindelow, Magnus, 2004. "Health care decisions as a family matter - intra-household education externalities and the utilization of health services," Policy Research Working Paper Series 3324, The World Bank.
    5. T. Paul Schultz, 1999. "Health and Schooling Investments in Africa," Journal of Economic Perspectives, American Economic Association, vol. 13(3), pages 67-88, Summer.
    6. Deon Filmer & Kinnon Scott, 2012. "Assessing Asset Indices," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 359-392, February.
    7. Hamadou Daouda, Youssoufou, 2011. "Déterminants de la mortalité infantile et infanto-juvénile et la pauvreté au Niger
      [Determinants of infant and under-five mortality and poverty in Niger]
      ," MPRA Paper 73154, University Library of Munich, Germany.
    8. AfDB AfDB, 2002. "Working Paper 38 - Health Development in Africa," Working Paper Series 2256, African Development Bank.
    9. Tchouassi Gérard & Ngwen Ngangue, 2014. "Determinants of Children’s Health for Human Capital Accumulation: Empirical Analysis," Asian Economic and Financial Review, Asian Economic and Social Society, vol. 4(11), pages 1622-1637, November.
    10. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    11. Arnousse Beaulière, 2004. "Pauvreté et fécondité en Haïti," Documents de travail 97, Groupe d'Economie du Développement de l'Université Montesquieu Bordeaux IV.
    12. Blunch, Niels-Hugo, 2013. "Staying Alive: Adult Literacy Programs and Child Mortality in Rural Ghana," World Development, Elsevier, vol. 42(C), pages 114-126.
    13. Margaret E. Grosh & Paul Glewwe, 1998. "Data Watch: The World Bank's Living Standards Measurement Study Household Surveys," Journal of Economic Perspectives, American Economic Association, vol. 12(1), pages 187-196, Winter.
    14. Dalton Conley & Gordon C. McCord & Jeffrey D. Sachs, 2007. "Africa's Lagging Demographic Transition: Evidence from Exogenous Impacts of Malaria Ecology and Agricultural Technology," NBER Working Papers 12892, National Bureau of Economic Research, Inc.
    15. T. Paul Schultz, 2005. "Productive Benefits of Health: Evidence from Low-Income Countries," Working Papers 903, Economic Growth Center, Yale University.
    16. Filmer, Deon, 2000. "The structure of social disparities in education : gender and wealth," Policy Research Working Paper Series 2268, The World Bank.
    17. Guinnane, Timothy W. & Moehling, Carolyn M. & O Grada, Cormac, 2006. "The fertility of the Irish in the United States in 1910," Explorations in Economic History, Elsevier, vol. 43(3), pages 465-485, July.
    18. de Jong, Eelke & Smits, Jeroen & Longwe, Abiba, 2017. "Estimating the Causal Effect of Fertility on Women’s Employment in Africa Using Twins," World Development, Elsevier, vol. 90(C), pages 360-368.
    19. AfDB AfDB, 2002. "Working Paper 38 - Health Development in Africa," Working Paper Series 2176, African Development Bank.
    20. Nicole Mellington & Lisa Cameron, 1999. "Female Education and Child Mortality in Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 35(3), pages 115-144.

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